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Total colonic volvulus with a 720° twist of freely mobile colon
  1. Dominic Robert Parker1,2,
  2. Janina Kaczmarczyk2,
  3. Abdullah Rana2 and
  4. Tiong Cheng Sia2
  1. 1Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
  2. 2Division of Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia
  1. Correspondence to Dr Dominic Robert Parker; dominic.parker{at}


Segmental colonic volvulus involving the sigmoid or ileocaecal region is an important cause of large bowel obstruction and a well-established surgical emergency. Volvulus of the entire colon however is hazardously rare, in which case the diagnosis is likely to be made intraoperatively. The surgeon is then faced with the conundrum of the best surgical management, especially in the case of early intervention with viable bowel. To our knowledge this has never been reported.

  • Gastrointestinal surgery
  • General surgery

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  • Contributors DP gathered clinical details from the patient and wrote the case report. JK, AR and TCS reviewed and amended the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.